Nursing test 3

A patient with hematuria is scheduled for cystoscopy. Which instruction does the nurse give to the patient after cystoscopy? 1 "Increase your fluid intake." 2 "Refrain from eating cereals." 3 "Limit your potassium intake." 4 "Do not consume citrus fruit."

"Increase your fluid intake."

The nurse is educating a patient about ways to promote bowel motility. What should the nurse include in the teaching? Select all that apply. A "Refrain from eating grapefruit." B "Eliminate cereals from your diet." C "Perform regular aerobic exercises." D "Walk for 10 to 15 minutes per day." E "Exercise immediately after a meal."

"Perform regular aerobic exercises." "Walk for 10 to 15 minutes per day."

The nurse explains the procedure for a series of lower gastrointestinal scans to a patient with a colonic ulcer. Which statement made by the nurse indicates the need for additional teaching? 1 "You will change positions frequently during the scan." 2 "You should have a liquid diet for 2 days before the test." 3 "You should limit fluid intake for several days after the test." 4 "You will be administered an enema before the procedure."

"You should limit fluid intake for several days after the test."

The nurse finds that a child weighing 10 kg has oliguria. Which finding enabled the nurse to make this conclusion? Correct 1 A urine output of 100 ml per day 2 A urine output of 120 ml per day 3 A urine output of 140 ml per day 4 A urine output of 150 ml per day

A urine output of 100 ml per day

A patient has constipation. What are the signs and symptoms of constipation? Select all that apply. A Abdominal pressure B Abdominal distention C Stoma "budding" D Loose feces E Abdominal cramping

Abdominal pressure abdominal distention abdominal cramping

A patient with constipation reports having blurred vision. The nurse assesses that the patient is straining during defecation. What does the nurse suspect as the cause of these symptoms? 1 A decrease in intracranial pressure 2 An increase in intraocular pressure 3 A decrease in intrathoracic pressure 4 An increase in arterial blood pressure

An increase in intraocular pressure

The patient is incontinent, and a condom catheter is placed. The nurse should take which action? 1 Secure the condom with tape. 2 Change the condom every 48 hours. 3 Assess the patient for skin irritation. 4 Use sterile technique for placement.

Assess the patient for skin irritation.

A nurse is teaching a patient about healthy bowel habits. What information should be included in the teaching? Select all that apply. A Laxatives should be used regularly. B Dietary fibers should be an essential component of the diet. C Fluid intake should be at least 6 to 8 glasses of water per day. D Physical exercise should be avoided to prevent constipation. E Stress management techniques should be practiced.

Dietary fibers should be an essential component of the diet. Fluid intake should be at least 6 to 8 glasses of water per day. Stress management techniques should be practiced.

A nurse is reviewing the laboratory reports of a patient. The urine report shows presence of large proteins in the urine. What is the most probable cause of proteinuria? 1 Glomerulonephritis 2 Infection of the urinary tract 3 Excessive aspirin ingestion 4 Starvation

Glomerulonephritis

A mother reports that her breastfed baby passes stools 5 times daily. How should the nurse handle this situation? 1 Promote maternal intake of high-fiber diet. 2 Advise the mother to shift to bottle-feeding. 3 Administer a dose of antidiarrheal medication. 4 Inform the mother that this is normal for infants.

Inform the mother that this is normal for infants.

An older patient who is admitted in the postsurgery care unit has decreased bladder capacity. What can the nurse do to help the patient avoid a urinary tract infection? Select all that apply. A Determine baseline urinary output for 24 hours. B Keep the call light and bedpan within easy reach of the patient. C Turn or reposition the patient every 2 hours. D Instruct the patient to notify the nurse immediately when he or she experiences bladder fullness. E Ensure the patient attempts to void urine every 2 hours.

Keep the call light and bedpan within easy reach of the patient. Instruct the patient to notify the nurse immediately when he or she experiences bladder fullness. Ensure the patient attempts to void urine every 2 hours.

The nurse is preparing to administer erythropoietin to a patient who presents with a deficiency. The nurse knows that the patient needs this medication because of dysfunction in which organ? 1 Liver 2 Bone 3 Kidney 4 Spleen

Kidney

The nurse is reviewing the urinalysis report for a patient. Which finding indicates possible glomerular injury? 1 White blood cells 2 Casts 3 Large proteins 4 Glucose

Large proteins

Which medication listed in a patient's medication history possibly causes gastrointestinal bleeding? 1 Cathartic 2 Antidiarrheal opiate agent 3 Nonsteroidal antiinflammatory drug (NSAID) 4 Opioid

Nonsteroidal antiinflammatory drug (NSAID)

A patient complains of passing only a little amount of urine despite a normal fluid intake. How should the nurse record this? 1 Dysuria 2 Polyuria 3 Hematuria 4 Oliguria

Oliguria

The patient suffering from urinary incontinence is admitted to the hospital. How can the nurse help the patient manage incontinence? Select all that apply. A Provide low-set chairs. B Provide a bedside commode. C Provide information about continence care. D Keep the bed raised well above the floor. E Provide clothes that can be easily opened.

Provide a bedside commode. Provide information about continence care Provide clothes that can be easily opened.

A patient is admitted to the hospital with constipation. What could be the possible reason? 1 Reduced fluid intake 2 Vigorous exercise 3 Antibiotic use via any route 4 Food allergies

Reduced fluid intake

A patient is advised to undergo dialysis. What is an indication for dialysis? 1 Urinary tract infection 2 Prostate enlargement 3 Renal failure refractory to conservative management 4 Incontinence due to spinal cord injury

Renal failure refractory to conservative management

A patient with renal failure is advised to undergo peritoneal dialysis. Which statement holds true for peritoneal dialysis? 1 The abdominal cavity functions as a dialyzing membrane. 2 The dialysate fluid is pumped through one side of a semipermeable membrane. 3 The processes of diffusion, osmosis, and ultrafiltration clean the patient's blood. 4 The blood is returned to the body through a specially placed vascular access device.

The abdominal cavity functions as a dialyzing membrane.

A patient suffering from bladder cancer has surgery, and an orthotopic neobladder is placed in the patient. What should the nurse explain to this patient? 1 The neobladder has to be catheterized frequently. Correct 2 The neobladder does not require a cutaneous urinary collection device. 3 The urine drains continuously. 4 The patient has to use a collection pouch at all times.

The neobladder does not require a cutaneous urinary collection device.

A patient reports pink-colored urine. During the assessment, the nurse finds that the patient has abdominal distension and feels discomfort during percussion. The patient's medical reports show an increased ratio of blood urea nitrogen to creatinine, along with the presence of glucose in the urine. How should the nurse interpret these findings? 1 The patient has developed kidney disease. 2 The patient has signs of cirrhosis of the liver. 3 The patient is taking indomethacin (Indocin). 4 The patient is taking promethazine (Remsed, Phenergan).

The patient has developed kidney disease.

A patient tells the nurse, "I eat all fruits and vegetables except bananas, and I eat very little meat and cheese." What does the nurse infer from this information? 1 The patient is on a renal diet. 2 The patient is on a cardiac diet. 3 The patient is on a pureed diet. 4 The patient is on a regular diet.

The patient is on a cardiac diet.

The nurse is caring for a patient with a urinary obstruction that prevents the flow of urine. While analyzing the microscopic urinalysis, the nurse notes the presence of crystals in the urine. What does the nurse infer from these findings? 1 The patient may have an infection. 2 The patient may have renal calculi. 3 The patient may have dehydration. 4 The patient may have kidney damage.

The patient may have renal calculi.

The nurse is caring for a patient who has undergone an ostomy procedure in the large intestine to create an opening in the upper right abdomen. Upon discharge, the nurse instructs the patient to wear the drainage appliances all the time. Which type of ostomy formation has the patient undergone? 1 Ileostomy 2 Sigmoid colostomy 3 Transverse colostomy 4 Descending colostomy

Transverse colostomy

An obese patient reports leaking urine while coughing. What management strategies should be included in the patient's treatment plan? Select all that apply. A Adequate fluid intake B Kegel exercises C Heavy weight-lifting D Weight-control measures E Caffeinated beverages

Weight-control measures Kegel exercises

A nurse suspects a patient has a fecal impaction. Which findings would be consistent for a fecal impaction? Select all that apply. A Fatigue B Malaise C Cramping D Rectal pain E Loss of appetite

loss of appetite rectal pain cramping

Which conditions does the nurse check for in the patient's medical record to ensure safe laxative administration? Select all that apply. A Nausea B Joint pain C Vomiting D Undiagnosed abdominal pain E Use of barrier cream on the skin

nausea joint pain undiagnosed abdominal pain

A patient is admitted for gastrointestinal (GI) bleeding. What color of stool does the nurse anticipate the patient to have? Select all that apply. A Red B Black C Green D Orange

red black

Which colostomies create an opening on the left lower side of the patient's abdomen? Select all that apply. A Loop colostomy B Sigmoid colostomy C Ascending colostomy D Transverse colostomy E Descending colostomy

sigmoid colostomy descending colostomy

The patient's urine specific gravity is 1.05. The urine tests positive for ketone bodies. What could be the possible causes? Select all that apply. A Starvation B Dilute urine C A diet low in sugars and carbohydrates D Overhydration E Diabetes mellitus

starvation a diet low in sugars and carbs diabetes mellitus

A patient complains that he is not able to pass urine completely. Even after voiding, the patient does not feel that the bladder is empty. What tests can be done to determine the extent of urinary retention in the patient? 1 Ultrasound 2 Cystoscopy 3 X-ray of the abdomen 4 Intravenous pyelogram (IVP)

ultrasound